KANIKSU HEALTH SERVICES 401K PLAN
|
2016
|
043634356
|
2017-09-27
|
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2082633410
|
Plan sponsor’s
address |
PO BOX 2160, SANDPOINT, ID, 838640908
|
|
KANIKSU HEALTH SERVICES 401K PLAN
|
2015
|
043634356
|
2016-10-12
|
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2082633410
|
Plan sponsor’s
address |
PO BOX 2160, SANDPOINT, ID, 838640908
|
|
KANIKSU HEALTH SERVICES 401K PLAN
|
2015
|
043634356
|
2016-10-12
|
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
|
80
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2082633410
|
Plan sponsor’s
address |
PO BOX 2160, SANDPOINT, ID, 838640908
|
|
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC DBA KANIKSU HEALTH SERVICES 401(K) PLAN
|
2013
|
043634356
|
2014-06-13
|
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
|
79
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2082633410
|
Plan
sponsor’s DBA name |
KANIKSU HEALTH SERVICES
|
Plan sponsor’s
address |
PO BOX 2160, SANDPOINT, ID, 838640908
|
Signature of
Role |
Plan administrator |
Date |
2014-06-13 |
Name of individual signing |
VICTORIA KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-13 |
Name of individual signing |
VICTORIA KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC DBA KANIKSU HEALTH SERVICES 401(K) PLAN
|
2012
|
043634356
|
2013-07-12
|
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2082633410
|
Plan
sponsor’s DBA name |
KANIKSU HEALTH SERVICES
|
Plan sponsor’s
address |
PO BOX 2160, SANDPOINT, ID, 838640908
|
Signature of
Role |
Plan administrator |
Date |
2013-07-12 |
Name of individual signing |
VICTORIA MCCLELLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-12 |
Name of individual signing |
VICTORIA MCCLELLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC DBA KANIKSU HEALTH SERVICES 401(K) PLAN
|
2011
|
043634356
|
2012-07-25
|
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2082637101
|
Plan
sponsor’s DBA name |
KANIKSU HEALTH SERVICES
|
Plan sponsor’s
address |
PO BOX Q, BONNERS FERRY, ID, 838051200
|
Plan administrator’s name and address
Administrator’s EIN |
043634356 |
Plan administrator’s name |
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC |
Plan administrator’s
address |
PO BOX Q, BONNERS FERRY, ID, 838051200 |
Administrator’s telephone number |
2082637101 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
VICTORIA MCCLELLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-25 |
Name of individual signing |
VICTORIA MCCLELLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC D/B/A KANIKSU HEALTH SERVICES 401K PLAN
|
2010
|
043634356
|
2011-07-13
|
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2082678440
|
Plan
sponsor’s DBA name |
KANIKSU HEALTH SERVICES
|
Plan sponsor’s
address |
PO BOX Q, BONNERS FERRY, ID, 838051200
|
Plan administrator’s name and address
Administrator’s EIN |
043634356 |
Plan administrator’s name |
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC |
Plan administrator’s
address |
PO BOX Q, BONNERS FERRY, ID, 838051200 |
Administrator’s telephone number |
2082678440 |
Signature of
Role |
Plan administrator |
Date |
2011-07-13 |
Name of individual signing |
VICTORIA MCCLELLAN-KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-13 |
Name of individual signing |
VICTORIA MCCLELLAN-KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|